Full Name 名字*

Email Address 电邮*

Postal Address 地址*

Postcode*

State*

Country*

Mobile Number 手机号码*

Quantity 数量*

Total Donation 捐购总数额* + RM 8 shipment charge 运输费

I would like my CD(s) to be sent to 请将我捐购的CD寄到:
my postal address 我的地址
Nanyang Siang Pau office nearest to my address 附近的南洋商报办事处
China Press office nearest to my address 附近的中国报办事处 .

（If the donor is willing to collect the CD from any of the Nanyang Siang Pau/ China Press offices after making the order online, the donor will be exempted from paying the RM8 shipment charge. )

（如果捐购者愿意透过网站订购，然后到附近的南洋商报或中国报办事处领取CD, RM 8 的运输费就可免了。）

I made the donation through 我选择的捐购方式*
Credit card (www.payonline.com.my)
Online transfer (OCBC Bank 701-120679-6) [Note: Please also email your online transfer slip to nyfound@nanyang.com.my]
Direct bank in (OCBC Bank 701-120679-6) [Note: Please also email your bank-in slip to nyfound@nanyang.com.my]